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5.2. SR 11-24-2003TO: FROM: DATE: SUBJECT: Item 512. MEMORANDUM Mayor and City Council Lori Johnson, Finance Director November 24, 2003 Consider Non-Union Health and Dental Insurance Contracts On Wednesday the final health insurance rate information for the non-union employee insurance contract was received. The insurance agent and I started the renewal process in August by discussing options available to our group. After receiving renewal rates from HealthPartners, a decision was made to request rates from Medica. Although this carried some risk because if Medica's rates were high, it took away any negotiating power we had with HealthPartners, we felt it was worth the risk. We simply could not accept HealthPartners' renewal with an increase of up to 22 percent for some plans. In the end the risk paid off as Medica submitted rates that are almost the same as last year's rates. This is great news in an environment where health care costs are increasing approximately 15 percent and 20 percent rate increases are common. Although it is difficult to make direct comparisons because of the differences in networks, Medica's rates are very good. Medica's networks are broader so some employees may actually see a decrease in their premiums because they now find that their doctor or clinic is included in Medica's cheaper plan network (Elect/Essential) unlike HealthPartners where they had to purchase a more expensive plan. Attached is a rate comparison spreadsheet with more detailed information on the rates. Plan options with Medica for 2004 will again include a $15 co-pay plan and a $500 deductible plan. In 2003 32 percent of the employees took the basic $500 deductible plan and the remaining 68 percent bought the more expensive plan. Also, dental insurance is up for renewal on January 1. HealthPartners did not increase rates for dental insurance so it is recommended that the dental contract be renewed. Finally, I will be present at Monday's meeting to answer any additional questions you may have. Employees will receive a copy of this memo prior to the meeting so they will have the information before the Council takes action. Employee meetings will be held in December to provide employees with additional information on the new insurance plan. Action Requested The Council is asked to award the 2004 non-union health insurance contract to Medica and to renew the dental insurance contract with HealthPartners. 2004 HEALTH DENTAL INSURANCE RENEWAL $15 Copay Plan Name Health Health Partners Partners Plan Current Renewal Medica Name Classic ME100 Single 288.40 362.30 290.43 Single & Spouse 588.95 739.88 593.10 Single & Children 524.16 658.48 527.85 Family 976.99 1,227.36 983.87 MICME/MES17 MIC Elect/Essential (Medica Elect/Essential rates include Allina Clinics included in HealthPartners' Primary network. Because HealthPartners and Medica have different networks, plan comparisons are difficult.) Primary HP60 Single 311.77 n/a Single & Spouse 636.70 n/a Single & Children 566.65 n/a Family 1,056.20 n/a (HealthPartners combined the Primary and Open plans for the 2004 renewal.) Open HPA60 MIC17 Single 336.72 381.37 322.68 Single & Spouse 687.64 778.82 658.98 Single & Children 611.99 693.14 586.48 Family 1,140.70 1,291.96 1,093.16 (HealthPartners renewal combines Primary and Open plans. HealthPartners and Medica networks are different.) MIC Choice Select $500 Deductible Classic ME101 Single 239.68 292.41 247.48 Single & Spouse 489.46 597.14 505.39 Single & Children 435.61 532.05 449.79 Family 811.94 991.71 838.37 MICME/MES500 MIC Elect/Essential $500 Deductible (Medica Elect/Essential rates include Allina Clinics included in HealthPartners' Primary network. Because HealthPartners and Medica have different networks, plan comparisons are difficult.) Primary HD12 Single 259.10 n/a Single & Spouse 529.14 n/a Single & Children 470.92 n/a Family 877.77 n/a (HealthPartners combined the Primary and Open plans for the 2004 renewal.) Open HPA62 MIC500 Single 279.84 308.15 274.97 Single & Spouse 571.47 629.29 561.54 Single & Children 508.60 560.06 499.76 Family 948.00 1,043.90 931.52 (HealthPartners renewal combines Primary and Open plans. HealthPartners and Medica networks are different.) MIC Choice $500 Deductible DENTAL Single 26.04 26.04 Family 68.02 68.02 NOTE: For more information on the networks for these plans go to Medica.com and HealthPartners.com. 11/21/2003